SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P
NPI 1104913094
Specialist in Saint Joseph, MI

Q: What is Southwest Michigan Center For Orthopaedic And Sports Medicine P's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 10, 2006

183 PEACE BLVD, SAINT JOSEPH, MI 49085(269) 428-3500(269) 429-6429 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southwest Michigan Center For Orthopaedic And Sports Medicine P NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P (NPI 1104913094) is a healthcare organization registered as a specialist in Saint Joseph, Michigan and active in the NPI registry since October 2006. The organization lists Kenneth J Edwards, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1104913094

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P

Location Address183 PEACE BLVDSaint Joseph, MI 49085-9146

Mailing Address183 Peace BlvdSaint Joseph, MI 49085-9146 · (269) 428-3500 · Fax (269) 429-6429

Phone(269) 428-3500

Fax(269) 429-6429

Organization SubpartNo

Authorized OfficialKenneth J EdwardsManaging Partner · (269) 428-3500

Enumeration DateOctober 10, 2006

Last NPPES UpdateApril 21, 2009

✔ NPI 1104913094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

183 PEACE BLVD, Saint Joseph, MI 49085

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Other Identifiers 2

Medicare UPINF24423MI

Medicare ID-Type Unspecified0N80920MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN LARRY KIM ARNY P. T.

Physical Therapist